A 55-year-old woman presents with abdominal pain, low-grade fever, and weight loss.

Fig. 49.1 (A–C) Axial contrast-enhanced CT images show multiple, well-defined, low-density focal lesions in the spleen. Also seen are thickening of the stomach wall, enlarged retroperitoneal abdominal lymph nodes, and a left pleural effusion.

Secondary involvement of the spleen in lymphoma

• Splenic metastases
  
• Splenic abscesses
  
• Spleen primary tumor
  
• Splenic infarcts
  
• Sarcoidosis